Individual
JORDAN RAY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(312) 402-5335
Mailing address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3789
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209021013
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95014440
CA
363LG0600X
Gerontology Nurse Practitioner
209.021013
IL
Other
Enumeration date
06/09/2020
Last updated
05/22/2025
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